Would You Pass the NCLEX? Part II

Passing the NCLEX exam is one of the most important steps en route to becoming a nurse. Use this quiz as a study guide to see how you would fare on the real test.

1.

Situation – Richard has a nursing diagnosis of ineffective airway clearance related to excessive secretions and is at risk for infection because of retained secretions. Part of Nurse Mario’s nursing care plan is to loosen and remove excessive secretions in the airway. Mario listens to Richard’s bilateral sounds and finds that congestion is in the upper lobes of the lungs. The appropriate position to drain the anterior and posterior apical segments of the lungs when Mario does percussion would be:

Client lying on his back then flat on his abdomen on Trendelenburg position

Client seated upright in bed or on a chair then leaning forward in sitting position then flat on his back and on his abdomen

Client lying flat on his back and then flat on his abdomen

Client lying on his right then left side on Trendelenburg position

When documenting outcome of Richard’s treatment Mario should include the following in his recording EXCEPT: